Kojima Yuki, Sendo Ryozo
Department of Anesthesiology, Asahi General Hospital, Chiba, Japan.
Department of Anesthesiology, Imakiire General Hospital, Kagoshima, Japan.
Case Rep Dent. 2022 Feb 26;2022:4436893. doi: 10.1155/2022/4436893. eCollection 2022.
Temporomandibular disorders are a group of disorders with symptoms that include pain and clicking sounds in the temporomandibular joint and restricted mouth opening. For the treatment of temporomandibular disorders with trismus, herein, we suggest a new approach: "jaw manipulation using the ultrasound-guided inferior alveolar nerve block technique." A woman in her 60s developed temporomandibular disorders and presented with severe trismus owing to pain in the temporomandibular joint. Ultrasound-guided inferior alveolar nerve block was performed with ropivacaine, which relieved the pain in the patient. Furthermore, we performed jaw manipulation for trismus. Since the analgesic effect lasts for 3 days, self-training can be performed while the pain is relieved. After five sessions of "jaw manipulation using the ultrasound-guided inferior alveolar nerve block technique," trismus significantly improved in this patient. Ultrasound-guided inferior alveolar nerve block can be effective in relieving temporomandibular disorder-related pain and trismus.
颞下颌关节紊乱病是一组疾病，其症状包括颞下颌关节疼痛、弹响以及张口受限。对于伴有牙关紧闭的颞下颌关节紊乱病的治疗，在此我们提出一种新方法：“超声引导下下牙槽神经阻滞技术的颌骨手法治疗”。一名60多岁的女性患颞下颌关节紊乱病，因颞下颌关节疼痛出现严重牙关紧闭。使用罗哌卡因进行了超声引导下下牙槽神经阻滞，缓解了患者的疼痛。此外，我们对牙关紧闭进行了颌骨手法治疗。由于镇痛效果持续3天，患者可在疼痛缓解时进行自我训练。经过五次“超声引导下下牙槽神经阻滞技术的颌骨手法治疗”后，该患者的牙关紧闭症状明显改善。超声引导下下牙槽神经阻滞可有效缓解与颞下颌关节紊乱病相关的疼痛和牙关紧闭症状。
